Staten Island — NYPD HEALTH AND WELLNESS SECTION

Registration and Release form.

Below is the registration for the 120 Precinct Park Yoga Event taking place on Thursday October 10, 2024.The event will take place on the beach at Fort Wadsworth Overlook in Staten Island (Confines of the 120 Precinct) from 0730 x 1030 Hours. By completing the registration below you agree to review the following two documents by clicking/tapping and reading each one. The info will be collected below after reading the documents:

Yoga Class Waiver

Photo Release Waiver

Person Registering for Event

First Name

Last Name

Event Participant (Same as above if age 18 and over)

First Name

Last Name

Department Email

Phone

(###)

###

####

Tax Number

Command Name if MOS, Full Address if Non MOS

Tour Working on Thursday October 10, 2024 (If RDO put RDO)

Electronic Signature, By typing your name below and by completing this digital form I acknowledge both release forms above and agree to register and participate. If I am registering on behalf of someone under the age of 18, I am acknowledging and am responsible for both release forms above as their parent/custodian/guardian:

Registration and Release form.

Check out our Instagram and Vimeo Page